Drug Awareness for Parents: Opioids 101High distribution of Rx and heroin drugs in small geographic...

Drug Awareness for Parents:Opioids 101

A thought provoking presentation by

community experts to help parents

recognize the signs of drug usage

and the resources available for help

and support.

Presented by:

Christopher Clouet, Superintendent

Shelton Public Schools

Officer David Eldridge

Shelton Police Department

Lorrie McFarland, Prevention Coordinator

Greater Valley Substance Abuse Action Council, A Program of

Bhcare

Pamela Mautte, Director

Greater Valley Substance Abuse Action Council, A Program of

Bhcare

Steve Rovinelli, M.D., Anesthesiologist

Griffin Hospital

It’s a Community Crisis

Jade Serrano

Gabriella Perry

Isabella DiPalma

Francesca Perry

Overview

The problem Opioid drug abuse is growing in our community

Why? Opioids are easy to obtain

Why here?

High distribution of Rx and heroin drugs in small geographic region

of accidental O/D Normalization of Rx drug use Low awareness of harm / addiction Access to treatment

Strategies for community change

• Help us be part of the solution & take action today!

Heroin

How?

Why?

What can we do?

What if these people were still alive?

Cory Monteith – Glee

John Belushi – Saturday Night Live

Chris Farley – Saturday Night Live

Philip Seymour Hoffman - Actor

Brad Renfro – Actor

Jim Morrison – Singer -The Doors

Pamela Courson – Jim Morrison’s Long Time Girlfriend

Kurt Cobain – Singer Nirvana

Amy Winehouse – singer-songwriter

What is heroin?

Heroin Slang Names

Dope

Brown sugar

Horse

Mu

c

Junk

Big

H

Heroin comes from poppies

Harvesters cut the pod and juice seeps out. The sap has a high content of morphine, which creates heroin.

Prescription Drug Abuse

Using prescription painkillers like Vicodin and Oxycontin can

lead to addiction. When the pills run out, the person may turn to stealing pills from family members. Then they may turn to

buying heroin because it is cheaper for the beginning user

than black market painkillers.

How is heroin used?

Smoked, injected, snorted, ingested or sniffed.

Addiction will occur with any of these methods.

Why do people use heroin?

Need another high after running out of prescription painkillers like

Vicodin and Oxycontin

“It felt so good.”* But this is only the first time. After that, you are

addicted and just using to stop the withdrawal effects.

Genetically vulnerable (addict in the family)

Why do people use

heroin? (continued)

Lack of knowledge, they think it’s “no big deal”

Use of other drugs can lead to heroin

Cheaper than cigarettes and prescription pain

killers

Increased purity (35% in 2010 vs. 4% in 1980’s) allows

users to snort or smoke it, which is less scary than

injecting

How does heroin hurt your

body?

Drugs affect our brain

Synaptic Pruning

Redundant connections are pruned away producing fewer but

faster connections, setting the stage for proficiency. This

“refinement” relies on a delicate balance of interactions between

neurons. Alcohol or drugs act directly on brain chemistry and disrupt

the balance.

Short-term Effects

• Vomiting

• Constipation

• Severe flu symptoms, then alternately alert and drowsy state

• Slowed and slurred speech

• Impaired night vision

Addiction

Long-Term Effects

“Every heroin addict that you talk to will tell you that the first

high was the greatest, and then they spend the rest of their life trying to chase that

one great high. And then eventually it devolves into being all they’re doing is

taking the drugs to keep from being sick.”

– DuPage County Coroner

Dr. Richard Jorgensen

Long-Term Physical

Consequences

Death

Permenant damage to lungs, liver, kidney and brain

HIV/AIDS

Bad Teeth, inflammation of the gums

Coma

Muscular weakness, partial paralysis

Long-Term Physical

Consequences

Reduced sexual capacity and long-term impotence in men

Menstrual disturbance in women

Loss of memory and intellectual performance

Blister like lesions on the face

Constant runny nose

Addiction Comparison

Heroin is one of the most

addictive substances on

the planet!

It is more addictive than

tobacco, cocaine and

most other drugs

How can I tell if my friend is using?

• Major changes in attitude and behavior –

moody, angry, lying

• Ditching school

• MIA

• Dark pupils

• Falling asleep in class

• Stealing, pawning personal items

Signs of a heroin overdose

• Slow or snoring breathing

• Blue lips and fingernails

• Cold clammy skin

• Shaking

At a party and see someone has overdosed? Call 911! Otherwise, your

friend could die.

Signs of a heroin overdose

Medics administered Narcan to the victim, hence his walking off the bus at

the end of the video. If no one is around, or Narcan is not available, death is

probable

Narcan – Saving Lives

Narcan – Saving Lives

Heroin is on the rise…soon death

will join it.

Unless we do something about it.

Heroin is on the rise…soon

death will join it.

Experimentation

Normative behaviors

Age of first use of any

substance

Alcohol = drugs

Pot = pills = heroin

What is Rx Abuse?

The misuse of Rx drugs is an under-recognized health issue that

puts young lives at risk.

Misuse includes:

Rx drugs serve an important purpose when used under a

healthcare professional’s supervision.

Misuse can lead to overdose, addiction and death.

Self medication

Using a drug without a

prescription to obtain the intended benefit

Recreational use

To get high or feel good

Source of Prescription Drugs

Teens Rx Drugs of

Choice for Abuse

How they work Abused by teens to Drug names

Strong Pain Relievers

Used to relieve moderate-to-severe pain, these medications block pain signals to the brain

To get high, increase feelings of well being by affecting the brain regions that mediate pleasure

Vicodin, OxyContin,Percocet, Lorcet, Lortab, Actiq, Darvon, codeine, morphine,methadone

Stimulants Primarily used to treat ADHD type symptoms, these speed up brain activity causing increased alertness, attention, and energy that comes with elevated blood pressure, increased heart rate and breathing

Feel alert, focused and full of energy—perhaps around final exams or to manage coursework, lose weight

Adderall, DexedrineRitalin, Concerta

Sedatives or tranquilizers

Used to slow down or “depress”the functions of the brain and central nervous system

Feel calm, reduce stress, sleep

Valium, Xanax, Ativan,Klonopin, Restoril, Ambien, Lunesta, Mebaral, Nembutal, Soma

Benzodiazepines

Xanax is THE most

prescribed medication

in CT.

Used for the treatment

of anxiety, panic

disorder, PTSD.

Due to high potential for

abuse, benzodiazepines

are prescribed for short

term use.

Signs of Overdose:

Drowsiness

Confusion

Blurred Vision

Coma

Inability to talk or

respond

Coma

Deadly when mixed with

alcohol

Dangers of Abusing Rx Drugs

• Increases in blood pressure or heart rate

• Damage to the brain and other organs

• Accidental overdose/poisonings

• Physical dependence

• Addiction

• Breathing problems

• Seizures

• Death

• Risks associated with mixing multiple drugs or combining with alcohol

Why Are Teens Abusing

Rx Drugs? They’re easy to get

Thrill seeking

Friends are doing it

Escape problems or self-medicate

Lack of self-esteem

Seen as safer alternative with fewer side effects

Less stigma associated with Rx drugs

Parents less likely to disapprove

Other Factors Driving

Trend: Invincibility 10% of teens admitted

abusing / mis-using medicine in the past 6 months

27% of teens mistakenly thought that prescription drugs were safer than street drugs

42% of teens who learned about prescription drugs were less likely to abuse prescription drugs than teens who didn’t

Talking to Teens About Rx Drug

Abuse

Do not normalize the behavior

Most teens are not abusing prescription drugs.

Debunk common myths

Misuse and abuse of prescription medications is as dangerous as misuse and abuse of other substances and can be as addictive.

It’s not okay to misuse these drugs, even “once and a while.”

If you are a parent

Be mindful about how you use and talk about medicines in front of teens.

Opioid Medication Tips

Know what your child is taking

Never allow your child to take more than what’s

prescribed

Count pills

Lock up medication

Communicate to the school nurse and inform of

medication being used

Do not give medication before going to school

Know the signs of overdose

Dispose of any excess medication

Facts to Consider

If the doctor does not inquire about the following:

• Underlying mental health / substance use disorders

• Past use of any substances (alcohol, marijuana, etc.)

• Student’s history of addiction

• Current prescribed & OTC medications

• Ask if there is non narcotic pain relief option

Take It To The Box

Ansonia Police Dept.

New Haven Police Dept.

Seymour Police Dept.

Shelton Police Dept.

West Haven Police Dept.

What are we doing?

Local, State and Federal

Agencies are working

together to identify local

dealers and their distribution

resources in the Valley. This

has become a high priority

Prevention Tips

Parents have the greatest influence – parent

communication

Increase youth assets

Look for physical and behavioral warning signs

Lock up and dispose of medications

Understand e-commerce & hidden technology

ResourcesSubstance Abuse Treatment (Outpatient)

• BHcare

(203) 736-2601 (18+)

• Wellmore Behavioral Health(203) 723-9599

• Children’s Center of Hamden

(203) 248-2116

• Rushford

(203) 630-5280

• Recovery Network of Programs

(203) 929-1954

Resources

Inpatient

• Rushford at Stonegate

(877) 577-3233

• CT Renaissance

(203) 367-7570

• Wellspring

(203) 266-8000

• Recovery Network of Programs

(203) 929-1954

Resources

On-line Resources

Turningpointct.org

Text CTL to 741741

BEHAVIORAL HEALTH SERVICES

PARENT CHILD RESOURCE CENTER

(203) 954-0543

CATHOLIC CHARITIES

(203) 735-7481

Resources

SUPPORT SERVICES

C.A.R.E.S (COMMUNYT ADDICTION & RECOVERY EDUCATION AND SUPPORT)

1-855-406-0246 WWW.THECARESGROUP.ORG

RECOVERY SERVICES

CT COMMUNITY FOR ADDICTION RECOVERY (CCAR) (203)-332-3303.

Resources

203-736-8566

pmautte@bhcare.org

lmcfarland@bhcare.org

Thank You